PATRICK WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255152

License Status

NOT RENEWED

Business

First Name

PATRICK

Last Name

WALLACE

Business Name

PATRICK WALLACE

Original Issue Date

12/22/2017

Effective Date

03/29/2019

Expiration Date

09/30/2020

City

UNIVERSITY PARK

State

Zip

60484

County

WILL

Ever Disciplined

LastModifiedDate

01/08/2021